Organization
TYLER COUNTY HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY CHAVIRA (CEO)
(409) 283-6429
Entity
Organization
Contact information
Practice address
1100 W BLUFF ST, WOODVILLE, TX 75979
(409) 283-6444
(409) 283-6430
Mailing address
PO BOX 549, WOODVILLE, TX 75979-0549
(409) 283-6429
(409) 283-5961
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136381401
—
TX
05
—
136381405
—
TX
01
—
HH0497
BLUE CROSS PROVIDER NO.
TX
Enumeration date
07/19/2005
Last updated
11/04/2025
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